Provider Demographics
NPI:1164863825
Name:CLINICAL INVESTIGATION SPECIALISTS, INC.
Entity Type:Organization
Organization Name:CLINICAL INVESTIGATION SPECIALISTS, INC.
Other - Org Name:CIS
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EVA
Authorized Official - Middle Name:M
Authorized Official - Last Name:AGAIBY
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:847-599-2492
Mailing Address - Street 1:1800 NATIONS DR
Mailing Address - Street 2:SUITE 115
Mailing Address - City:GURNEE
Mailing Address - State:IL
Mailing Address - Zip Code:60031-9168
Mailing Address - Country:US
Mailing Address - Phone:847-599-2492
Mailing Address - Fax:847-599-2497
Practice Address - Street 1:1800 NATIONS DR
Practice Address - Street 2:SUITE 115
Practice Address - City:GURNEE
Practice Address - State:IL
Practice Address - Zip Code:60031-9168
Practice Address - Country:US
Practice Address - Phone:847-599-2492
Practice Address - Fax:847-599-2497
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-10
Last Update Date:2013-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health